| 伍晓鸣,卢岷,冉海涛,谢昭鹏,毛翔,董桂芳.肌骨超声诊断周围性面瘫[J].中国介入影像与治疗学,2018,15(10):615-617 |
| 肌骨超声诊断周围性面瘫 |
| Musculoskeletal ultrasound in diagnosis of peripheral facial paralysis |
| 投稿时间：2018-01-28 修订日期：2018-07-31 |
| DOI：10.13929/j.1672-8475.201801045 |
| 中文关键词: 面神经 面神经麻痹 超声检查 |
| 英文关键词:Facial nerve Facial paralysis Ultrasonography |
| 基金项目:重庆市卫生计生委项目（ZY201702001） |
|
| 摘要点击次数: 1293 |
| 全文下载次数: 720 |
| 中文摘要: |
| 目的 探讨肌骨超声在周围性面瘫中的应用价值。方法 收集左侧周围性面瘫患者30例（病例组）及健康志愿者30名（对照组），采用肌骨超声观察2组左侧面神经声像图特征，测量并比较面神经直径。结果 病例组面神经鞘内回声减低，内部线性回声模糊；对照组面神经纵切面呈束状低回声，周边有线状高回声的神经外膜，内偶见有细线状等回声的神经束膜，横切面不易观察。病例组面神经周围血流信号较对照组面神经血流信号丰富，差异有统计学意义（χ2=15.60，P<0.05）。病例组面神经内径[（1.27±0.29） mm]较对照组[（1.10±0.09） mm]增粗，差异有统计学意义（t=3.00，P<0.05）。结论 面瘫患者患侧面神经具有特征性超声表现；肌骨超声可以为临床诊断和随访评价提供重要影像学依据。 |
| 英文摘要: |
| Objective To explore the diagnostic value of musculoskeletal ultrasound (MSKUS) in peripheral facial paralysis.Methods Thirty patients with left peripheral facial paralysis (case group) and thirty healthy volunteers (control group) were enrolled. Sonographic features of facial nerve were observed, and the diameter of facial nerve was measured and compared between the two groups.Results The echo of facial nerve decreased, and the internal linear echo blurred in case group. The longitudinal section of facial nerve in control group showed bunch hypoechoic shaped, a linear high echo of the outer membrane of the nerve and a thin line of the inside nerve fascia, while the cross-section of the facial nerve could not be easily observed. Blood flow signals of the facial nerve in case group were richer than that in control group (χ2=15.60, P<0.05). The diameter of facial nerve in case group ([1.27±0.29]mm) was wider than that in control group ([1.10±0.09]mm; t=3.00, P<0.05).Conclusion Ultrasonic features of ipsilateral facial nerve in peripheral facial paralysis patients have some characteristics. MSKUS can provide important imaging basis for diagnosis and following-up of peripheral facial paralysis. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|
